Reminder: Real-time Claim Status Available in November

Release Date: October 17, 2012

Please note: This article has been revised from the original communication – the implementation date has changed from October 2012 to November 2012. The original article announcingReal-time Claim Statuscan be accessed by visiting the Important News webpage atwww.bcbsnc.com/providers.

Blue Cross and Blue Shield of North Carolina (BCBSNC) will be offering real-time claim status connectivity this November for all trading partners that are CAQH CORE certified.

The Department of Health and Human Services (HHS), as part of the Affordable Care Act, has adopted the CAQH CORE Phase I & II Operating Rules for Health Care Eligibility/Benefit (270/271) and Claim Status (276/277) Inquiries and Responses. The mandated implementation date of January 1, 2013 is rapidly approaching.

Effective in November 2012, BCBSNC will offer two new connectivity protocols, SOAP + WSDL and HTTP + MIME, in order to comply with these rules. We will continue to support our existing HTTP, FTP, and real-time SOAP protocols as well as these two new options. Real-time and batch file formats will be available for both the Health Eligibility and Claim Status transactions.